Abimbola Olutimehin, PLLC
Dentist, Pediatric Dentistry in Manvel, TX. Organization (NPI-2).
NPI number1508328899
StatusActive
Last updated in NPPESDec 16, 2019
Details
- NPI
- 1508328899
- Entity type
- Organization (NPI-2)
- Legal business name
- Abimbola Olutimehin, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2019
- Certification date
- Dec 16, 2019
- Last updated
- Dec 16, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Other names
- Manvel Pediatric Dentistry (Doing Business As)
Practice location
19433 Morris AveSte. 120
Manvel, TX 77578
Phone 832-637-5085
Mailing address
19433 Morris Ave.Ste. 120
Manvel, TX 77578
Phone 832-637-5085
Authorized official
Abimbola Olutimehin
Owner
8326375085
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